Xopenex HFA

Reliever inhaler for quick–acting asthma relief with low risk of side effects

FDA Approved Drugs

Xopenex HFA

Aerosol
45mcg
1 inhaler
$139.99 $139.99/inhaler
1 inhaler
$139.99 $139.99/inhaler
2 inhalers
$229.99 $115.00/inhaler
3 inhalers
$329.99 $110.00/inhaler
$139.99 Incl. Rx and shipping
Why choose Xopenex
  • Fewer side effects – Causes less shaking and nervousness compared to other relievers.
  • More selective – Targets specific airways, reducing unnecessary side effects.
  • Reduced risk of tachycardia – Lower chance of rapid heart rate compared to other inhalers.
Good to know*
  • Available if previously prescribed this inhaler by PCP or specialist.
Delivery & discretion
  • Free shipping on all orders
  • Delivery in 2-3 working days
  • Need it quick: priority shipping option available in checkout
  • Comes in plain packaging
Our service
  • No insurance needed
  • No in-person doctor visit needed with our quick online consultation
  • No prescription needed
  • Reviewed by US-licensed physicians
  • Dispensed from US -licensed pharmacy
  • FDA-approved medication
Alternative treatments

How to use

Xopenex

Prime before use

Prime before use

Make sure to prime your inhaler before using for the first time, or if you haven't used it for more than 3 days.

Quick relief

Quick relief

This inhaler should only be used when you experience symptoms.

Take 1 or 2 puffs every 4 to 6 hours as needed.

When it’s not enough

When it’s not enough

If your inhaler doesn’t relieve your symptoms, this may be a sign your asthma is not well controlled. Speak to your doctor as you may need a change in treatment.

Key facts

Xopenex

light-blue-inhaler
  • Used for

    Provides quick relief for asthma symptoms, helping to open the airways during an asthma attack.

  • How to use it*

    Use 1-2 puffs every 4-6 hours as needed.

  • How long to work

    Starts working within 15 minutes and provides relief for up to 8 hours.

  • Common side effects*

    Tremors, throat irritation, headache, and increased heart rate.

  • Who should not take it*

    Avoid if you have heart problems, thyroid problems, diabetes, or high blood pressure.

  • Interactions*

    May interact with other bronchodilators, antidepressants, diuretics, or beta-blockers.

  • Generic/branded.

    Generic: Levalbuterol
    Brand: Xopenex

* Always consult the patient leaflet for comprehensive information.

Xopenex FAQs

What is Xopenex and how does it work?

Xopenex is a rescue inhaler used to provide quick relief from symptoms of asthma and chronic obstructive pulmonary disease (COPD), such as wheezing, coughing, and shortness of breath.

It contains the active ingredient, levalbuterol, a bronchodilator that relaxes the muscles around the airways. This allows more air to flow into the lungs, relieving the symptoms of asthma and COPD.

How to use

How do I use Xopenex correctly?

To use the Xopenex inhaler correctly:

  1. Make sure the inhaler is primed before use.
  2. Shake the inhaler well, then take the cap off the mouthpiece and check for any foreign objects.
  3. Facing away from the inhaler, breathe out all the air from your lungs.
  4. Put the mouthpiece in your mouth and close your lips around it.
  5. Push the top of the canister all the way down while you breathe in deeply and slowly through your mouth.
  6. Hold your breath for 10 seconds or as long as is comfortable.
  7. If you need another dose, wait for 1 minute, then shake the inhaler well and repeat steps 3 through 6

Safety & side effects

Who can use Xopenex?

Xopenex is recommended for patients 4 years and older with breathing problems associated with asthma and COPD.

*Please note: At SpeedyHealth we currently only offer this treatment for adults.

You should not use Xopenex if you are allergic to ingredients such as levalbuterol, or albuterol, or any other ingredients in this medicine.

Speak to your doctor before using this inhaler if you:

  • have heart problems
  • have high blood pressure
  • have seizures
  • have diabetes
  • have thyroid problems
  • have any other medical conditions
  • are pregnant or planning to become pregnant
  • are breastfeeding
What are the possible side effects?

Common side effects:

  • Bronchitis
  • Dizziness
  • Sore throat
  • Runny nose
  • Vomiting
  • Palpitations
  • Chest pain
  • Fast heart rate
  • Tremors or shakiness
  • Nervousness

Serious side effects

  • Sudden shortness of breath
  • Worsening asthma
  • Heart problems.
  • Allergic reactions (symptoms include swelling of the face, throat or tongue, hives, a rash, and breathing problems)

Seek immediate medical attention if you experience any serious side effects of this medicine.

Buying Xopenex

Can I buy Xopenex online?

Yes, you can buy Xopenex inhalers online at SpeedyHealth after completing our free online consultation.

How do I get a prescription for Xopenex?

A consultation is required as this inhaler is a prescription-only medication. Our doctors will need to check to ensure it is safe and suitable for you to use.

Medically reviewed by Dr. Adrian Rawlinson

Written by our editorial team | Last reviewed January 01, 2026

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